NUR 166 final
Uncompensated - ANS: pH is abnormal and either CO2 or HCO2 is normal
compensated - ANS: pH is normal and both CO2 and HCO3 is abnormal
partially compensated - ANS: pH, CO2 and HCO3 are all abnormal
warfarin (coumadin) - ANS: anticoagulant
used to prevent and treat DVT, MI, stroke and pulmonary edema
what lab do we monitor for warfarin and what is the therapeutic range? - ANS: PT/INR
2-3
what is the black box warning for warfarin? - ANS: bleeding
what can coumadin cause? - ANS: purple toe syndrome and agraphylocytesis (low WBC in blood)
what is the antidote for coumadin? - ANS: vitamin K
heparin - ANS: anticoagulant used to prevent/treat DVT, MI, DVT, embolization with atrial fibrillation
*make sure patient avoids use of electrical razor, soft toothbrush use*
*also used to keep venous devices open and dialysis ports*
which lab do we monitor for heparin and what is the therapeutic range? - ANS: PTT
,25-35
what is the antidote for Heparin? - ANS: protamine sulfate
what do we watch for with someone taking heparin? - ANS: abnormal bleeding->hemorrhage
what is HIT? - ANS: heparin induced thrombocytopenia (low platelets)
lorazepam (ativan) - ANS: benzodiazepine used for anxiety, insomnia, sedation for procedures, status
epilepticus and CIWA
*schedule 4 drug*
what drug schedule is lorazapam? - ANS: schedule 4- addiction forming
what is CIWA? - ANS: Clinical Institute Withdrawal Assessment for Alcohol
*scoring tool for alochol*
lorazepam black box warning - ANS: don't administer this medication with other CNS depressants, avoid
use of heavy machinery
lorazepam common side effects - ANS: dizziness
confusion
orthostatic hypotension
blurred vision
what are serious side effects of lorazepam? - ANS: ECG changes, tachycardia, cardiac arrest, apnea
, diazepam (valum) - ANS: benzodiazepine
can be given rectally for seizures in addition to PO, IV,IM
what are serious side effects of diazepam? - ANS: respiratory depression
what can diazepam cause? - ANS: phlebitis or thrombosis at the iv site which can occur frequently
augmentin - ANS: (PO) broad spectrum ineffective
amoxicillin/clavulanate
what are serious side effects of augmentin? - ANS: CDAD, seizures and bone marrow depression
*monitor platelets*
what is a stopcock? - ANS: a device that controls the flow of a solution with manual manipulation of the
valve
why does the INS prefer we do not use a stopcock? - ANS: they increase the risk of infection
how much solution does macro tubing deliver? - ANS: 10-20gtts/mL
how much solution does micro tubing deliver? - ANS: 60gtts/mL
What is a backcheck valve? - ANS: device that functions to prevent retrograde flow of the fluid
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